| NPI | 1851803431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM ZENOU Manager 310-857-8218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |